Title
A Study to Evaluate Time in Range in Type 2 Diabetics Using Afrezza® Plus Basal Insulin Compared to Multiple Daily Injections
A Single-Site, Investigator-Initiated Study to Evaluate Time in Range in Subjects With Type 2 Diabetes Mellitus Using Mealtime Inhaled Insulin (Afrezza®) Plus Basal Insulin Compared to Multiple Daily Injections
Phase
Phase 4Lead Sponsor
CHRISTUS Santa Rosa HospitalStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Type 2 Diabetes Treated With InsulinIntervention/Treatment
Afrezza Inhalant ProductStudy Participants
29The purpose of this study is to collect CGM, A1c and Quality of Life data in subjects with Type 2 diabetes before and after transitioning from Multiple Daily Injections to Basal plus Bolus with Afrezza® inhaled insulin. The primary objective is to evaluate the percentage of time spent in goal range without significant hypoglycemia. Additional objectives include evaluation of A1c and Quality of Life data. The expected outcomes are improvement of time in range, no change or improvement in A1c and favorable Quality of Life data
Participants will be titrated from usual pre-meal insulin plus basal to Afrezza® inhaled insulin plus basal, and will continue on treatment for 14 weeks.
Participants will be titrated from usual pre-meal insulin plus basal to Afrezza® inhaled insulin plus basal, and will continue on treatment for 14 weeks. Participants will attend study visits at Day 0, Weeks 1, 2, 3, 4, 8, 12 and 16, where insulin titration may be performed based on CGM readings. Participants will receive instruction in carbohydrate counting and corrective insulin dose adjustments. Participants will wear CMG throughout the study. At final study visit, CGM system will be collected. A1c, FEV1 and Quality of Life Questionnaires will be collected. Pregnancy test will be collected for all females of child-bearing potential. Participants will be transitioned back to Multiple Daily Injections plus basal or may choose to continue on commercial Afrezza® inhaled insulin plus basal
Inclusion Criteria: Age 18 years or older Diagnosed with Type 2 diabetes mellitus treated with multiple daily injections Screening A1c 7.5 % - 11.5% inclusive Willing and able to wear CGM system during the study Willing to use only inhaled insulin (Afrezza®) at meals and for correction Able to understand, speak, read and write English Female of child-bearing potential willing to use contraceptive measures to prevent pregnancy Exclusion Criteria: Diagnosed with COPD Is an active smoker , or has smoked in the past 6 months Diagnosed with asthma Pregnancy, breast-feeding or planning to become pregnant during study period Have a disease or condition that, in the opinion of the Investigator, could affect subject safety or interfere with their participation in the study Use of oral or injected corticosteroid within 6 weeks of study enrollment Enrollment in another investigational trial at the time of screening